Individual
DR. JAMES IRA JOUBERT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, BOX 3002, LONGVIEW, WA 98632-2367
(360) 414-2000
Mailing address
1615 DELAWARE ST, BOX 3002, LONGVIEW, WA 98632-2367
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
MD29093
OR
2083X0100X
Occupational Medicine Physician
MD60048714
WA
2084N0400X
Neurology Physician
27194
SC
2084N0400X
Neurology Physician
MD.202490
LA
2084N0400X
Neurology Physician
MD29093
OR
2084N0400X
Neurology Physician
Primary
MD60048714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026112
—
OR
01
—
242365
WA STATE LABOR & INDUSTRIES
WA
05
—
8527988
—
WA
01
—
P00766906
RAILROAD MEDICARE
WA
Enumeration date
10/13/2006
Last updated
04/09/2010
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